Renee Hunnicutt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62503 Issued in TX

Practice address

6300 John Ryan Dr
Fort Worth, TX 76132-4122

Phone

(817) 922-6000

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gladney

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1669658068
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1174278774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 GOODLAND TER",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797128",
            "telephone_number": "806-433-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "817-922-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Goodland Ter",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761797128",
            "country_code": "US",
            "telephone_number": "806-433-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNNICUTT",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jayne Humphreys, BCBA, LBA
• Laine Ashton Humphreys, SLP
• Miriah Lyn Humphreys, PTA
• Donna Humphries, LPC
• Julia Hunnell, DPT
• Robert W Hunnicutt, MD
• Amy Dawn Hunt, SLP ASSISTANT
• Briannah Nicole Hunt, LPC-ASSOCIATE
• Corbin Q Hunt, MD
• Jene Hunt, PHARMD

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.